. The practice of pediatrics. Fig. 82.—Soft-rubber earsyringe. 584 THE PRACTICE OF PEDIATRICS physical resistance. After the syringing, the ear should be carefullydried with absorbent cotton. For purposes of syringing a one-ouncehard-rubber ear syringe with soft-rubber tip answers best. If this isnot obtainable, a douche-bag, at an elevation of not more than threefeet above the patients head, may be used. The douche-bag sometimesanswers better for those who are unskilled, or a soft-rubber bulb syringeof a capacity of one or two ounces may be used (Fig. 82). The small,double-current ear-irrigat
. The practice of pediatrics. Fig. 82.—Soft-rubber earsyringe. 584 THE PRACTICE OF PEDIATRICS physical resistance. After the syringing, the ear should be carefullydried with absorbent cotton. For purposes of syringing a one-ouncehard-rubber ear syringe with soft-rubber tip answers best. If this isnot obtainable, a douche-bag, at an elevation of not more than threefeet above the patients head, may be used. The douche-bag sometimesanswers better for those who are unskilled, or a soft-rubber bulb syringeof a capacity of one or two ounces may be used (Fig. 82). The small,double-current ear-irrigator may be used with advantage for the reasonthat it largely prevents wetting the patient. During treatment by anyof these methods the child rests on his back with his hands pinned to hisside by means of a large bath towel, while a pus basin is held under theear to catch the flow (Fig. 83). If the nurse can have an assistant, theupright position may be Fig. S3.—Syringing the ear. Delayed Resolution.—In a certain number of cases resolution isdelayed and the discharge continues. In such cases a decided aid isfurnished by the use of stimulating and disinfectant instillations. Afterthe last syringing for the day the canal should be dried by the use of awick of absorbent cotton. Five drops of the following solution are thento be instilled into the ear: ]$ Pulv. acidi borici gr. xxv Spts. vini rect., Aquae aaoss McKernon, of New York, advises the use of a 15 per cent, solutionof argyrol in a similar manner. MASTOIDITIS 585 CHRONIC SUPPURATIVE OTITIS Not infrequently cases come under our care in which there is apurulent discharge from the ears, often most offensive, with a historythat the discharge has followed measles, scarlet fever, or grip, and hascontinued for weeks or months. Examination may show a perforationof the upper portion of the drum, through which there is a free discharge,which, however, on account of the site of the per
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Keywords: ., bookcentury1900, bookdecade1910, bookid39002, booksubjectchildren
